Provider Demographics
NPI:1285875229
Name:REDLINGER, JEFFREY JARED (DMD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:JARED
Last Name:REDLINGER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1099 ENDORA WAY
Mailing Address - Street 2:
Mailing Address - City:BOULDER CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89005-3100
Mailing Address - Country:US
Mailing Address - Phone:702-349-5435
Mailing Address - Fax:
Practice Address - Street 1:3945 S MARYLAND PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-7562
Practice Address - Country:US
Practice Address - Phone:702-735-3838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-22
Last Update Date:2009-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5745122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist